WSR 13-15-002

EMERGENCY RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES

(Behavioral Health and Service Integration Administration)

[Filed July 3, 2013, 2:22 p.m., effective July 3, 2013, 2:22 p.m.]

Effective Date of Rule: Immediately upon filing.

Purpose: To adjust the rate table in WAC 388-105-0005 in accordance with the 2014-2015 biennial budget (3ESSB 5034).

Citation of Existing Rules Affected by this Order: Amending WAC 388-105-0005.

Statutory Authority for Adoption: RCW 74.39A.030 (3)(a).

Under RCW 34.05.350 the agency for good cause finds that immediate adoption, amendment, or repeal of a rule is necessary for the preservation of the public health, safety, or general welfare, and that observing the time requirements of notice and opportunity to comment upon adoption of a permanent rule would be contrary to the public interest; and that state or federal law or federal rule or a federal deadline for state receipt of federal funds requires immediate adoption of a rule.

Reasons for this Finding: In order to comply with the 2014-2015 biennial budget, the 17-level payments for adult family homes must be adjusted. The adjusted rates will ensure adequate care for medicaid clients residing in adult family homes.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.

Date Adopted: July 3, 2013.

Katherine I. Vasquez

Rules Coordinator

AMENDATORY SECTION (Amending WSR 13-03-093, filed 1/15/13, effective 2/15/13)

WAC 388-105-0005 The daily medicaid payment rates for clients assessed using the comprehensive assessment reporting evaluation (CARE) tool and that reside in adult family homes (AFH) and assisted living facilities contracted to provide assisted living (AL), adult residential care (ARC), and enhanced adult residential care (EARC) services.

For contracted AFH and assisted living facilities contracted to provide AL, ARC, and EARC services, the department pays the following daily rates for care of a medicaid resident:


COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
KING COUNTY
CARE CLASSIFICATION	AL Without Capital Add-on	AL With Capital Add-on	ARC	EARC	AFH
A Low	$65.58	$71.00	$46.51	$46.51	$((47.45)) 47.59
A Med	$70.97	$76.39	$52.71	$52.71	$((53.70)) 53.84
A High	$79.58	$85.00	$57.85	$57.85	$((59.96)) 60.10

B Low	$65.58	$71.00	$46.51	$46.51	$((47.68)) 47.82
B Med	$73.13	$78.55	$58.92	$58.92	$((60.25)) 60.39
B Med-High	$82.76	$88.18	$62.62	$62.62	$((64.48)) 64.62
B High	$87.10	$92.52	$71.52	$71.52	$((73.57)) 73.71

C Low	$70.97	$76.39	$52.71	$52.71	$((53.70)) 53.84
C Med	$79.58	$85.00	$66.05	$66.05	$((68.28)) 68.42
C Med-High	$98.96	$104.38	$87.89	$87.89	$((89.12)) 89.26
C High	$99.94	$105.36	$88.73	$88.73	$((90.35)) 90.49

D Low	$73.13	$78.55	$71.09	$71.09	$((69.58)) 69.72
D Med	$81.20	$86.62	$82.29	$82.29	$((84.93)) 85.07
D Med-High	$104.87	$110.29	$104.52	$104.52	$((101.98)) 102.12
D High	$112.97	$118.39	$112.97	$112.97	$((115.96)) 116.10

E Med	$136.43	$141.85	$136.43	$136.43	$((139.90)) 140.04
E High	$159.89	$165.31	$159.89	$159.89	$((163.85)) 163.99


COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
METROPOLITAN COUNTIES*
CARE CLASSIFICATION	AL Without Capital Add-on	AL With Capital Add-on	ARC	EARC	AFH
A Low	$60.19	$65.11	$46.51	$46.51	$((47.45)) 47.59
A Med	$63.43	$68.35	$50.64	$50.64	$((51.61)) 51.75
A High	$77.43	$82.35	$55.18	$55.18	$((56.82)) 56.96

B Low	$60.19	$65.11	$46.51	$46.51	$((47.68)) 47.82
B Med	$68.80	$73.72	$55.82	$55.82	$((57.10)) 57.24
B Med-High	$77.88	$82.80	$59.33	$59.33	$((61.16)) 61.30
B High	$84.95	$89.87	$69.51	$69.51	$((71.52)) 71.66

C Low	$63.43	$68.35	$50.85	$50.85	$((51.99)) 52.13
C Med	$77.43	$82.35	$65.21	$65.21	$((66.64)) 66.78
C Med-High	$95.71	$100.63	$81.69	$81.69	$((82.88)) 83.02
C High	$96.67	$101.59	$86.87	$86.87	$((87.87)) 88.01

D Low	$68.80	$73.72	$70.12	$70.12	$((68.07)) 68.21
D Med	$79.00	$83.92	$80.65	$80.65	$((82.67)) 82.81
D Med-High	$101.44	$106.36	$101.95	$101.95	$((98.90)) 99.04
D High	$109.88	$114.80	$109.88	$109.88	$((112.22)) 112.36

E Med	$132.21	$137.13	$132.21	$132.21	$((135.01)) 135.15
E High	$154.54	$159.46	$154.54	$154.54	$((157.80)) 157.94

*Benton, Clark, Franklin, Island, Kitsap, Pierce, Snohomish, Spokane, Thurston, Whatcom, and Yakima counties.


COMMUNITY RESIDENTIAL DAILY RATES FOR CLIENTS ASSESSED USING CARE
NONMETROPOLITAN COUNTIES**
CARE CLASSIFICATION	AL Without Capital Add-on	AL With Capital Add-on	ARC	EARC	AFH
A Low	$59.13	$64.37	$46.51	$46.51	$((47.45)) 47.59
A Med	$63.43	$68.67	$49.62	$49.62	$((50.58)) 50.72
A High	$77.43	$82.67	$54.30	$54.30	$((55.79)) 55.93

B Low	$59.13	$64.37	$46.51	$46.51	$((47.68)) 47.82
B Med	$68.80	$74.04	$54.79	$54.79	$((56.06)) 56.20
B Med-High	$77.88	$83.12	$58.22	$58.22	$((59.98)) 60.12
B High	$84.95	$90.19	$65.77	$65.77	$((67.70)) 67.84

C Low	$63.43	$68.67	$49.62	$49.62	$((50.58)) 50.72
C Med	$77.43	$82.67	$61.66	$61.66	$((64.13)) 64.27
C Med-High	$95.71	$100.95	$78.58	$78.58	$((79.76)) 79.90
C High	$96.67	$101.91	$82.13	$82.13	$((83.16)) 83.30

D Low	$68.80	$74.04	$66.30	$66.30	$((64.43)) 64.57
D Med	$79.00	$84.24	$76.26	$76.26	$((78.23)) 78.37
D Med-High	$101.44	$106.68	$96.38	$96.38	$((93.58)) 93.72
D High	$103.88	$109.12	$103.88	$103.88	$((106.16)) 106.30

E Med	$124.99	$130.23	$124.99	$124.99	$((127.70)) 127.84
E High	$146.10	$151.34	$146.10	$146.10	$((149.25)) 149.39

** Nonmetropolitan counties: Adams, Asotin, Chelan, Clallam, Columbia, Cowlitz, Douglas, Ferry, Garfield, Grant, Grays Harbor, Jefferson, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Orielle, San Juan, Skagit, Skamania, Stevens, Wahkiakum, Walla Walla and Whitman.